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脊髓损伤患者的自主神经反射异常:排尿性膀胱尿道造影术和回肠袢造影术的并发症

Autonomic dysreflexia in patients with spinal cord lesions: complication of voiding cystourethrography and lleal loopography.

作者信息

Barbaric Z L

出版信息

AJR Am J Roentgenol. 1976 Aug;127(2):293-5. doi: 10.2214/ajr.127.2.293.

DOI:10.2214/ajr.127.2.293
PMID:182009
Abstract

Autonomic dysteflexia is a pathologic reflex which occurs in patients with a spinal cord lesion above T7. The most dangerous manifestation of this reflex is marked increase in systolic and diastolic blood pressure. The trigger is the distension of the urinary bladder, urethra, rectum, or intestine. It can and does occur during radiological examinations such as cystourethrography, loopography, and probably during the barium enema. Because of possible deleterious consequences of marked hypertension, blood pressures in these patients should be continuously monitored during the examinations and appropriate measures immediately instituted should the reaction occur.

摘要

自主神经反射异常是一种发生于胸7以上脊髓损伤患者的病理反射。这种反射最危险的表现是收缩压和舒张压显著升高。触发因素是膀胱、尿道、直肠或肠道扩张。它可在诸如膀胱尿道造影、瘘管造影等放射学检查期间发生,钡剂灌肠时可能也会发生。由于显著高血压可能带来有害后果,在检查期间应持续监测这些患者的血压,一旦发生反应应立即采取适当措施。

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Spinal Cord. 2015 Jul;53(7):500-9. doi: 10.1038/sc.2015.39. Epub 2015 Mar 24.